| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,275 |
20,814 |
$1.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,159 |
2,673 |
$257K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,017 |
2,304 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,749 |
2,058 |
$122K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,367 |
1,758 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,586 |
1,240 |
$75K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,609 |
2,439 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,525 |
3,042 |
$65K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,796 |
2,379 |
$32K |
| 90670 |
|
1,738 |
1,327 |
$26K |
| 90680 |
|
1,137 |
879 |
$17K |
| 90698 |
|
988 |
728 |
$14K |
| 90686 |
|
668 |
553 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,320 |
743 |
$8K |
| 90633 |
|
516 |
410 |
$8K |
| 90710 |
|
511 |
400 |
$7K |
| 99384 |
|
302 |
160 |
$7K |
| 90744 |
|
394 |
321 |
$6K |
| 90697 |
|
329 |
310 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
69 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
953 |
801 |
$5K |
| 90734 |
|
229 |
198 |
$5K |
| 90671 |
|
256 |
244 |
$5K |
| 82043 |
|
535 |
510 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
232 |
178 |
$2K |
| 87807 |
|
134 |
122 |
$1K |
| 81003 |
|
496 |
409 |
$1K |
| 94664 |
|
127 |
108 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
126 |
107 |
$981.00 |
| 90715 |
|
67 |
45 |
$870.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,367 |
841 |
$801.61 |
| 99381 |
|
12 |
12 |
$700.00 |
| 90696 |
|
58 |
45 |
$653.07 |
| 90461 |
|
84 |
38 |
$555.00 |
| 90685 |
|
75 |
48 |
$534.33 |
| 90651 |
|
27 |
27 |
$534.33 |
| 36416 |
|
886 |
592 |
$422.50 |
| 85018 |
|
365 |
254 |
$326.42 |
| 90647 |
|
24 |
15 |
$296.85 |
| 90648 |
|
14 |
14 |
$237.48 |
| 90707 |
|
14 |
12 |
$217.69 |
| 90716 |
|
14 |
12 |
$217.69 |
| 90700 |
|
12 |
12 |
$197.90 |
| 81002 |
|
54 |
42 |
$120.00 |
| 97802 |
|
168 |
76 |
$25.00 |
| 99401 |
|
27 |
13 |
$0.00 |
| 90712 |
|
58 |
30 |
$0.00 |
| 99080 |
|
165 |
81 |
$0.00 |
| 87081 |
|
32 |
29 |
$0.00 |
| 99070 |
|
57 |
33 |
$0.00 |